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Leah Constantz, LMHC
Home
About
About Leah
Offerings & Fees
Social Justice
Upcoming Events
Testimonials
Contact
Resources
Blog
Where Roots Meet Stars
Sponsor a Session
PSIP Consultation Inquiry Form
Fill out the form below, and I will email you to set up a consultation date and time. Thank you!
Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Who referred you my way?
*
Did someone tell you about me? If so, I'd like to thank them, so please share if it feels okay to do so.
Are you familiar with the PSIP model?
*
Yes
Kinda
No
Have you experienced or are you experiencing any of the following?
It is important for me to understand this about you before our consultation, but you can always share with me during our consultation if that feels better for you.
Psychosis
Recovery from addiction in the last 6 months
Significant suicidal ideation and/or intent within the last 6 months
Psychedelic experiences that were extremely destabilizing
Diagnosis of Schizophrenia or a close family member with this diagnosis
Psychedelic experiences that were positive and meaningful
Hit a plateau in other healing modalities, such as talk therapy
Feel a calling to this work that I can't quite describe
Use Cannabis on a near daily basis to help ease emotional/physical symptoms
Have more interest in the medicinal effects of Cannabis
Have more interest in the medicinal effects of Ketamine
What's your availability like for a video consultation?
*
I use doxy.me for video consultations, so you will need access to the internet and/or phone data when we chat. Example: Mondays and Tuesdays from 5-8 pm, Wednesdays at 9 am.
Thank you!